Desert Grove Family Medical | |
1855 N Stapley Dr Mesa AZ 85203-3002 | |
(480) 834-7546 | |
(480) 833-8313 |
Full Name | Desert Grove Family Medical |
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Speciality | Family Medicine |
Location | 1855 N Stapley Dr, Mesa, Arizona |
Authorized Official Name and Position | Michelle Dinsdale (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4808347546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Grove Family Medical Po Box 24571 Belfast ME 04915-4496 Ph: () - | Desert Grove Family Medical 1855 N Stapley Dr Mesa AZ 85203-3002 Ph: (480) 834-7546 |
NPI Number | 1093764938 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 10/28/2024 |
Medicare PECOS PAC ID | 5193628485 |
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Medicare Enrollment ID | O20040526000631 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093764938 | NPI | - | NPPES |
633795 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Allison K Kaplan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962463844 PECOS PAC ID: 9739175571 Enrollment ID: I20040426000369 |
Provider Name | Richard J Dinsdale |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487617718 PECOS PAC ID: 7517948466 Enrollment ID: I20040630000452 |
Provider Name | Linda L Lau |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710940705 PECOS PAC ID: 9638101454 Enrollment ID: I20050901000129 |
Provider Name | Denise R Sackett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730163361 PECOS PAC ID: 7113946187 Enrollment ID: I20051118000356 |
Provider Name | Jeffrey A Levison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467405894 PECOS PAC ID: 4486660974 Enrollment ID: I20060221000420 |
Provider Name | Rachel S Erdmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437383874 PECOS PAC ID: 8022168293 Enrollment ID: I20090721000037 |
Provider Name | Kent M Hatfield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811938152 PECOS PAC ID: 2860473790 Enrollment ID: I20101029000403 |
Provider Name | Mary M Winscott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952324030 PECOS PAC ID: 8224080437 Enrollment ID: I20101102001134 |
Provider Name | Lisa Marie Eckerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689981177 PECOS PAC ID: 2466640453 Enrollment ID: I20101216001041 |
Provider Name | Kristen Lyn Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447545645 PECOS PAC ID: 8527237569 Enrollment ID: I20110809000606 |
Provider Name | Jennifer M Slonaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326310020 PECOS PAC ID: 8921256959 Enrollment ID: I20120918000216 |
Provider Name | Donald J White |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558504357 PECOS PAC ID: 5799934212 Enrollment ID: I20120927000172 |
Provider Name | Heather M Hodnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932444304 PECOS PAC ID: 5799921177 Enrollment ID: I20130410000309 |
Provider Name | Annette A Lusko |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487918181 PECOS PAC ID: 9335394600 Enrollment ID: I20150819008305 |
Provider Name | Robert M Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902284599 PECOS PAC ID: 6608183637 Enrollment ID: I20150923001599 |
Provider Name | Travis Warren Fisher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366536732 PECOS PAC ID: 1153463997 Enrollment ID: I20161014001165 |
Provider Name | Brian William Goodman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497165732 PECOS PAC ID: 2668754722 Enrollment ID: I20170125000932 |
Provider Name | Benjamin Ihms |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588076046 PECOS PAC ID: 6002193448 Enrollment ID: I20170511002226 |
Provider Name | Steven K Perez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730528688 PECOS PAC ID: 4284905860 Enrollment ID: I20170731002422 |
Provider Name | Mohammad K Dardari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467405357 PECOS PAC ID: 9436106572 Enrollment ID: I20180420000699 |
Provider Name | Robert Babbel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134575384 PECOS PAC ID: 8426302498 Enrollment ID: I20181109000352 |
Provider Name | Dana S Farris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033214200 PECOS PAC ID: 3971609595 Enrollment ID: I20190329001670 |
Provider Name | Albert Hsia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518313196 PECOS PAC ID: 5890037295 Enrollment ID: I20190506001536 |
Provider Name | Sahan Joseph Emmanuel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245686872 PECOS PAC ID: 3678816857 Enrollment ID: I20190510002107 |
Provider Name | Tyler John Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801321344 PECOS PAC ID: 1658794003 Enrollment ID: I20200702000579 |
Provider Name | Susan Kathleen Gerold-terraza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467115246 PECOS PAC ID: 8426441320 Enrollment ID: I20220623001450 |
Provider Name | Katie Marie Andrusaitis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922735521 PECOS PAC ID: 5597149724 Enrollment ID: I20221007001030 |
Provider Name | Amanda Grace Sessions |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346709318 PECOS PAC ID: 0840694030 Enrollment ID: I20230530003462 |
Ohana Kids & Family Kare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3130 E Baseline Rd Ste 103, Mesa, AZ 85204 Phone: 480-539-7618 Fax: 480-900-8884 | |
True Patriot Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 E University Dr Ste 111, Mesa, AZ 85203 Phone: 480-398-1220 Fax: 480-398-1238 | |
M.g.t Rn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7117 E Peralta Cir, Mesa, AZ 85212 Phone: 480-430-0721 | |
Stillpoint Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-280-1996 Fax: 602-532-7649 | |
Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
Voyage Medical Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 W Grove Ave Ste 115, Mesa, AZ 85210 Phone: 480-685-0930 | |
Tripp Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 E Brown Rd, Suite 1, Mesa, AZ 85213 Phone: 480-830-7546 Fax: 480-830-7550 |